Individual
DR. FULTON LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. M. D.
Contact information
Practice address
375 POST RD W, WESTPORT, CT 06880-4741
(203) 227-1044
Mailing address
375 POST RD W, WESTPORT, CT 06880-4741
(203) 227-1044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5099
CT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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